Provider Demographics
NPI:1083171854
Name:JCPK ENDO LLC
Entity Type:Organization
Organization Name:JCPK ENDO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:PUJALS KURY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-368-0500
Mailing Address - Street 1:1357 ASHFORD AVENUE
Mailing Address - Street 2:STE2-379
Mailing Address - City:SANJUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1400
Mailing Address - Country:US
Mailing Address - Phone:787-368-0500
Mailing Address - Fax:
Practice Address - Street 1:1357 ASHFORD AVENUE
Practice Address - Street 2:STE2-379
Practice Address - City:SANJUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1400
Practice Address - Country:US
Practice Address - Phone:787-368-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty